Justina Welch

Individual provider Active NPI Professional Counselor · Andover, NJ

NPI 1700664158 · NPPES record last updated Sep 18, 2023

Key facts

NPI
1700664158
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
37AC00667500 (NJ)
Practice address
33 Kennedy Rd
Ste 33a
Andover, NJ 07821
Phone
(862) 284-7187
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37AC00667500NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Human First Counseling Services Professional Current
since Sep 24, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37AC00667500 NJ Yes

Addresses

Primary practice location

33 Kennedy Rd
Ste 33a
Andover, NJ 07821

Mailing address

PO Box 129
Tranquility, NJ 07879-0129
Phone (862) 284-7187

Other providers in Andover, NJ

All providers in Andover, NJ · Professional Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.